CAJ | 학술논문

目的：了解2型糖尿病患者心理一致感现状和影响因素，为临床及社区护士进行有效护理提供依据。方法采用一般资料调查表和心理一致感量表对某三级甲等医院511名2型糖尿病患者进行问卷调查。影响因素采用独立样本t检验和方差分析进行单因素分析；采用多元线性回归分析进行多因素分析。结果本组患者的心理一致感总分为（63.58±11.64）分，条目平均分为（4.89±0.89）分，理解能力、管理能力及价值感维度的条目平均分分别为（4.99±1.02）分、（4.69±1.22）分、（4.96±1.09）分；心理一致感的影响因素包括年龄、职业、学历、居住地、家庭人均月收入、付费方式、并发症数目及糖化血红蛋白（P<0.05）。结论2型糖尿病患者的心理一致感处于中等水平，且受个人基本资料及病情特点等因素的影响；护士应采取必要的护理干预措施，提高患者的心理一致感水平。
목적：료해2형당뇨병환자심리일치감현상화영향인소，위림상급사구호사진행유효호리제공의거。방법채용일반자료조사표화심리일치감량표대모삼급갑등의원511명2형당뇨병환자진행문권조사。영향인소채용독립양본t검험화방차분석진행단인소분석；채용다원선성회귀분석진행다인소분석。결과본조환자적심리일치감총분위（63.58±11.64）분，조목평균분위（4.89±0.89）분，리해능력、관리능력급개치감유도적조목평균분분별위（4.99±1.02）분、（4.69±1.22）분、（4.96±1.09）분；심리일치감적영향인소포괄년령、직업、학력、거주지、가정인균월수입、부비방식、병발증수목급당화혈홍단백（P<0.05）。결론2형당뇨병환자적심리일치감처우중등수평，차수개인기본자료급병정특점등인소적영향；호사응채취필요적호리간예조시，제고환자적심리일치감수평。
Objective To understand the status and explore the influence factors of sense of coherence (SOC) in patients with type 2 diabetes and to provide the evidence for effective cares in hospital and community. Methods Totally 511 patients with type 2 diabetes in a Class III Grade I hospital were investigated with general information questionnaire and sense of coherence scale. The influencing factors were analysed by t test, one-way ANOVA and multiple linear regression analysis. Results The total score of SOC of patients was 63.58±11.64, and the entry average score of each dimension was 4.89±0.89. The scores of comprehensibility, manageability, meaningfulness of patients were 4.99±1.02, 4.69±1.22, 4.96±1.09, respectively. The influencing factors of SOC included age, occupation, education background, residence, family monthly income per capita, payment type, the number of complications and HbA1c(P<0.05). Conclusion The SOC of patients with type 2 diabetes is in the middle level and influenced by their general information and disease condition. Necessary interventions should be taken to improve SOC level of patients with type 2 diabetes.